Showing posts with label Cellulite. Show all posts
Showing posts with label Cellulite. Show all posts

Sunday, June 17, 2007

Cellulite treatments

There is no officially proven and approved treatment for cellulite. One of the reasons is that quality research in this area has been scarce. On the other hand, there are a number of empirical treatments on the market claiming to improve cellulite. Which ones, if any, are reliably effective will remain unclear until rigorous clinical studies are conducted. Below we discuss cellulite treatments that either appear promising or are popular or both.

Caffeine creams: Caffeine is known to promote lymphatic drainage from tissues (i.e. remove excess fluid) as well as increase lipolysis (promote breakdown of cellular fat). In theory, this could counteract some of the factors contributing to cellulite. Hence, creams with caffeine or somewhat similarly acting substances (such as aminophylline) have been used to treat cellulite. As of the time of this writing, no independent study has demonstrated the effectiveness of topical caffeine for cellulite. A few studies demonstrating some benefit have been commissioned by skin care companies and cannot be considered unbiased. A single study demonstrating the effectiveness of aminophylline was small and its principal investigator appears to have had a conflict of interests.

Diet: A number of cellulite diets are being promoted by some skin care and/or nutrition experts - mainly in conjunction with sales of topicals, supplements and dieting materials. The more rational of these diets recommend foods and supplements that reduce inflammation, improve microcirculation, strengthen connective tissue and activate fat metabolism, i.e. allegedly address the key factors in the development of cellulite. The problem is that there is no proof that any diet has any effect on cellulite. Until there are any decent studies, dietary treatment of cellulite will remain a wishful thinking. Still want to try to defeat cellulite with diet? Then pick the one that makes the most sense in terms of general health: plenty of fresh fruits and veggies, high in fiber, rich in omega-3 fat, low-glycemic and so forth. You may not cure your cellulite, but at least it wouldn't be a wasted effort. Keep in mind that losing weight does not eliminate cellulite. However, it may modestly reduce the appearance of cellulite because it makes fat tissue shrink.

Directed energy: light, laser, radiofrequency: Directed energy treatments have been making inroads into the cellulite treatment business. Some of the claims are plausible because certain forms of directed energy can reach the junction between the skin and fat tissue and even further. One such device called TriActive incorporates a low-energy laser, a skin-cooling mechanism, and suction massage. The goal is to stimulate collagen, circulation, and lymphatic drainage in the lower skin layer and below while protecting the skin by cooling. A course of treatments with TriActive may cost up to $1,500. Another device VelaSmooth used a combination of radiofrequency energy, infrared laser and suction-based massage. Radiofrequency radiation deep-heats fat tissues causing some fat cells to burst; infrared light heats the juncture between skin and fat, improving circulation and inducing connective tissues remodeling; suction-based massage evens out the newly softened tissue and stimulates drainage. All of the above allegedly reduces cellulite by 50% or more over a series of ten $200 sessions ($2,000 total). The effectiveness of VelaSmooth remains to be proven in solid studies.

Mesotherapy: In essence, mesotherapy involves injecting a cocktail of chemicals, which may include vitamins, herbal extracts and off-label drugs (i.e. drugs approved for other purposes), into the area affected by cellulite. The rationale of this approach is the idea that delivering active chemicals directly to the source of the problem should be more effective than applying them topically and hoping that meaningful amounts will penetrate. The active chemicals are selected by their ability to soften connective tissue, break up fat, stimulated remodeling, circulation, drainage and so forth. The most prudent approach is to wait until more studies are performed to determine safety, effectiveness and best practices for mesotherapy. Or at least try other things first. Mesotherapy is typically performed in a series of 5-10 sessions, costing about $150 each.

Specialized massage: Many salons offer anti-cellulite massage, which usually employs rollers, shakers, suction, vibration and so-forth. Such massage does not seem to cause any sustained tissue restructuring and at best can achieve some degree of short-lived smoothening. Or just even out your excess cash.

Tomorrows Article: Connection between blood sugar & healthy skin………..

Cellulite myths & misconceptions

Cellulite is caused by diet: There is no evidence that any particular diet composition (including the amount of fluid you drink) leads to cellulite or can help prevent it. Of course, any diet that makes you gain weight will make your cellulite more prominent. However, if you do not have cellulite, simply gaining weight will not cause cellulite to appear.

Cellulite occurs only in women: This is not a complete myth in the sense that women are much more prone to cellulite than men. However, men can develop cellulite and a small percentage of them do. Notably, men with abnormally low testosterone levels develop cellulite almost as frequently as women, indicating a hormonal connection.

Exercise prevents or reverses cellulite: Exercise has no effect on cellulite. If exercise helps you lose weight, your cellulite will become less visible because improperly packaged fat will not protrude as much. However, exercise will not affect connective tissue defects, which are the key abnormality in cellulite.

Liposuction is an effective cellulite treatment: More often than not, liposuction is ineffective as a primary cellulite treatment because the main abnormality in cellulite is a connective tissue defect, not excessive or abnormal fat. In fact, liposuction sometimes makes the appearance of cellulite worse.

Only overweight people develop cellulite: Cellulite develops in people of any weight, including very slim ones. Gaining weight may make cellulite more prominent but it does not create it.

Only old people develop cellulite: Cellulite development can begin are early as teen years. However, cellulite does tend to progress with age.

Next Article: Cellulite treatments

About Cellulite …

Cellulite is sometimes viewed as an unscientific term. While there is no official disease called cellulite, the phenomenon it refers to clearly exists. Basically, the term cellulite refers to skin dimpling caused by protrusions of subcutaneous fat into the dermis and other irregularities of the junction between the skin and subcutaneous fat. Other names used synonymously to cellulite include orange peel syndrome, cottage cheese skin, and so forth. According to various estimates, over 80% of adult women have some degree of cellulite. Cellulite is possible but infrequent in men.

Signs and Symptoms: Cellulite is harmless and causes no pain or discomfort. Its main sign is dimpled appearance of the skin.

What causes cellulite?

The direct causes of cellulite appear to include connective tissues abnormalities, impaired microcirculation and, possibly, enlargement of fat cells. However, what leads to these disturbances remains somewhat unclear. Hormonal levels and heredity are believed to play a role. While men with normal male hormone levels rarely develop cellulite, those with abnormally low levels are much more prone to this condition. This points to a role of the hormonal balance between androgens and estrogens.

Some experts theorize that stress and diet have some role but the evidence is lacking.

Cellulite is not related to excess weight. Normal and underweight people develop cellulite as well. Losing weight does not eliminate cellulite although it may reduce its appearance somewhat as it makes fat tissue shrink.

So far, researchers found no clear distinction between normal fat tissue and the one affected by cellulite. In fact, it seems that cellulite may have more to do with changes in the lower levels of the skin and how they anchor fat tissues than with the fat itself. Age-related changes in microcirculation and lymphatic drainage may also be involved.

Treatment: There is no officially proven and approved treatment for cellulite. One of the reasons is that quality research in this area has been scarce. However, a number of empirical treatments claiming to improve cellulite are available on the market.

Next Article: Cellulite myths & misconceptions